Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.00 / $9,572.00 / $10,126.00	Facility		$1,330.00	$9,572.00	$10,126.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $5,242.00 / $6,239.00	Facility		$350.00	$5,242.00	$6,239.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $322.00 / $6,266.44	Facility		$200.00	$322.00	$6,266.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Facility		$650.00	$650.00	$650.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,145.00 / $10,145.00 / $10,145.00	Facility		$10,145.00	$10,145.00	$10,145.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14,957.00 / $24,290.63 / $35,173.12	Facility		$14,957.00	$24,290.63	$35,173.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $3,389.00 / $6,150.00	Facility		$1,008.00	$3,389.00	$6,150.00